37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 394265 |
Time | |
Date | 199802 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : pbi |
State Reference | FL |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 17000 flight time type : 4000 |
ASRS Report | 394265 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 12000 flight time type : 2000 |
ASRS Report | 394030 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa other other : unspecified |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
Started pushback with forward cargo door open. Read checklist without paying attention. When we noticed the door light I notified ground crew who moved instantly to close door. We were starting right engine. I didn't think quickly enough to abort start, which meant that ground crew was in 'zone of death.' minor oversight could have become a tragedy.
Original NASA ASRS Text
Title: FLC FAILED TO NOTICE THAT THE FORWARD CARGO OPEN LIGHT WAS ON PRIOR TO PUSHBACK RESULTING IN GND CREW RUNNING PAST AN ENG TO SHUT DOOR DURING THE STARTING OF THAT ENG.
Narrative: STARTED PUSHBACK WITH FORWARD CARGO DOOR OPEN. READ CHKLIST WITHOUT PAYING ATTN. WHEN WE NOTICED THE DOOR LIGHT I NOTIFIED GND CREW WHO MOVED INSTANTLY TO CLOSE DOOR. WE WERE STARTING R ENG. I DIDN'T THINK QUICKLY ENOUGH TO ABORT START, WHICH MEANT THAT GND CREW WAS IN 'ZONE OF DEATH.' MINOR OVERSIGHT COULD HAVE BECOME A TRAGEDY.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.